Nokea
The reasons for patients preference to see GP. Which of the following is CORRECT?
- A. GPs can manage all the most difficult types of mental illnesses.
- B. The GP is not familiar with their past history.
- C. The clinic hours are fixed and inflexible.
- D. The patients are familiar with the GPs.
Correct Answer: D
Rationale: Patient familiarity with GPs fosters trust and preference for primary care management.
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Survey research is cross-sectional and therefore:
- A. High in replicability but low in internal validity
- B. High in internal validity but low in reliability
- C. High in ecological validity but low in external validity
- D. None of them
Correct Answer: A
Rationale: Surveys (cross-sectional) are replicable but lack internal validity due to correlation, not causation.
Which sound should you expect to hear when you percuss the liver during a complete physical assessment?
- A. Resonance
- B. Flatness
- C. Tympany
- D. Dullness
Correct Answer: D
Rationale: Dullness (D) is expected over the liver due to its solid nature.
The ability to think abstractly develops during Piaget's
- A. Sensorimotor
- B. Preoperational
- C. Concrete operational
- D. Formal operational
Correct Answer: D
Rationale: The formal operational stage (11+ years) enables abstract and hypothetical thinking, per Piaget.
After the death of his wife, a man tells the nurse, I can't live without her. She was my whole life. Which is the nurses most therapeutic reply?
- A. Each day will get a little better.
- B. Her death is a terrible loss for you.
- C. Remember, she's no longer suffering.
- D. Your friends will help you cope with this.
Correct Answer: B
Rationale: The correct response demonstrates the use of reflection, a therapeutic communication technique. A statement that validates the bereaved persons loss is more helpful than banalities and cliches; it signifies understanding. The other options are clichs.
The nurse must give Frank, a Latino American, a physical examination. She tells him to remove his clothing and put on an examination gown. Frank refuses. How should the nurse interpret this behavior?
- A. Frank does not believe in taking orders from a woman.
- B. Frank is modest and embarrassed to remove his clothes.
- C. Frank doesn't understand why he must remove his clothes.
- D. Frank does not think he needs a physical examination.
Correct Answer: B
Rationale: Frank's refusal to remove his clothing for a physical exam likely stems from cultural modesty or embarrassment, particularly in a clinical setting, which aligns with option b.